| NPI | 1114626363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARIS MURRAY Owner 443-762-5343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 251B00000X Case Management | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2026-06-18 |